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Joined Oct 5, '11 - from 'The Deep South'. BostonTerrierLoverRN is a Travel Nursing/ER/Trauma. He has '10' year(s) of experience and specializes in 'Adult/Ped Emergency and Trauma'. Posts: 1,272 (77% Liked) Likes: 3,873

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  • Dec 2

    Wow, there is this predominance in the nursing profession to get a strong foundation in Med-Surg nursing before venturing out to see what else is out there, . . .

    Interesting thought, . .

    Are Doctors required to go through 1-4 years of being a general practitioner?

    I THINK IT DEPENDS ON THE PERSON, THE ENVIRONMENT, DESIRE, and DRIVE/MATURITY

  • Nov 27

    Southern US Pain Scale
    0..........I feel ahrite
    1-5.......achin' a lil'
    5-6.......hurtin' worse
    7-8.......hurtin' "badder" now
    8-9.......really hurtin' a bunch
    9-10......hurtin' like hell
    10+.......Just Cut it off! -or- Pull it!

    What's really funny is that many of you will assume I am joking, Lol!

  • Nov 14

    Okay, This always worked for me, but it takes a little creativity. Don't be afraid to sell yourself, you are a Vitally Important Educated Person in a TEMPORARILY challenging economy. You said you were awarded an honor upon graduation, so it is obvious you are very intelligent, goal driven, and totally deserving of THE JOB YOU WANT.

    1. This is just advice, you can chunk it by the way side, DO WHAT IS BEST FOR YOU!!!!

    2. MOST IMPORTANT- Don't settle (WITHIN REASON) if you want to be a Pediatric Cardiology Nurse (Example), don't go accept a LTC night position that is going to wear you down and burn you out! Home is where the heart is.

    3. Make copies of your Resume. NAMES ARE IMPORTANT. Learn the NAMES of the key players that will decide on your hiring. Choose a day Mon-Fri, Fridays are usually the best day to approach a Nurse Supervisor, just before or after lunch. Don't back away or cower if they immediately shut you down by "Sorry, no open positions right now. . ." You are in control, on the unit you want, the spotlight is on you! Immediately tell them why you are interested in their unit, and that you wanted to introduce your self. Hand a copy of the resume anyway. OFFERING TO VOLUNTEER W/O PAY TO ACCESS YOUR SKILLs IS A HUGE PLUS-although I have never seen anyone actually have to do it!

    The key here is FACIAL and PERSONALITY recognition. Learn there names, make sure they know you, THANK THEM REGUARDLESS OF HOW THEY ACT/ EVEN IF IT FEELS LIKE THEY BLOWING YOU OFF---->I did this to a girl one time as ER Coordinator because I was busy. She handed me a Resume that I pocketed to my wallet, and the next Monday, my Administrator told me he was moving one of my nurses to holding unit, and I would need to hire for one position in/out of facility, and IT REQUIRED ME TO POST IN NEWSPAPER, BUT CAN YOU GUESS WHAT HAPPENED?

    I already had a nurse that proved herself by not just leaving a faceless resume in the stack of applicants down in HR, I KNEW THIS GIRL, because she made an effort to look me up by name, find me, and pursue what she wanted. I felt like I "Knew her" as far as I had met her, knew her face, basic personality, and that is worth more than any Coverletter or Resume the others had-though they were a MUST, and just in case I would forget our encounter-she sent me a thank-you card. I thought, even though I blew her off, she was kind and thoughtful enough to thank me for my time?


    4. FOLLOW-UP
    The "Thank-You" card is a wonderful way to do this, and it makes A HUGE IMPRESSION. Send one to anyone at the facility who aided in your application process, you never know who holds what Clout with Who. Plus remember name recognition-it's one more chance to do this.

    5. LETTERS OF RECOMMENDATION
    This is a dying art that has made many a hirings possible. This is a person who is going out on a ledge to say, "You should hire this person." Get them from past employers, the edge is priceless, and it gives them perspective on who you are.

    Just having "REFERRALs AVAILABLE UPON REQUEST." will not cut it any more-know they ARE going to call your referrals, so have them prepared. Ask your referalls permission to list them.

    6. DO NOT GIVE UP. You have come so far, against so many obstacles to get where you are now, Nursing School has to be one of the most challenging experiences in the life of human beings, and you accomplished it!!! When you are down, remember how much you have achieved!!!!! You will have a great career, and this economic dip is temporary!!!!

    GOD BLESS AND BEST OF LUCK!!!!!!!!!!!!!!!!!!!

  • Sep 29

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 28

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 28

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 14

    I got tickled reading Wooh's quote "Ethics are annoying, I avoid them on principle." and forgot what I was going to say. Like that! @Wooh

  • Aug 6

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Jul 31

    I agree, there is enough grief and pain in one lifetime to prevent the invitation of anymore- if you've been sober without any relapse issues for greater than 5 years and they don't know it, that's a blessing! Count it as one- and lay low

    You see, time passed means nothing really from their perspective. To them, an addict is a pickle. A pickle once was a cucumber- but no matter what you do, it's never going back to being a cucumber again. You and me are "pickles." We are just clean pickles that can be pickled again anytime. You are ahead of the game if they see you as a "cucumber" still- I wouldn't go looking for dill, vinegar, and a mason jar(sorry, terrible analogy).

    That is a ghost that can haunt your career and lifestyle more than you ever imagined if the BON does not already know your past. I live in that very real haunted present- even with near 5 years clean, and no diversion history or occupational related incidences.

  • Jul 14

    I did it 9 years ago, from ADN, and MSN- and my best advice is coffee, 3 alarm clocks, and the rest I plead the 5th- but it can be done.

    I would also have to give TONS of credit to my wife who also worked 40 hour weeks going to get her AS-MSW. I couldn't have done it without her, and she didn't even laugh at me when she caught me in the shower with my socks on before I realized it.

    Life Happens!

    Boston

  • Jun 26

    Ok, I have a "spending problem," sign me up for the OT Johanna doesn't want.
    (panting like a dog in a begging position)

  • Jun 16

    Oh dear Heavenly Father, another Night vs. Day Shift Thread! Give us strength, wisdom, and understanding so that we may appreciate each others unique battles, cultural differences, and superiority complexes, for after all, although we are "Nurses," we suffer being "human!" (And all that comes with both)

  • Jun 15

    I did it 9 years ago, from ADN, and MSN- and my best advice is coffee, 3 alarm clocks, and the rest I plead the 5th- but it can be done.

    I would also have to give TONS of credit to my wife who also worked 40 hour weeks going to get her AS-MSW. I couldn't have done it without her, and she didn't even laugh at me when she caught me in the shower with my socks on before I realized it.

    Life Happens!

    Boston

  • Apr 10

    BOSTON's FAVORITE TIPs and USELESS KNOWLEDGE!!!!

    I used to sit on bags for the transfers to a trauma center via ambulance, it warmed the fluids, and created pressure. You can also use a blood pressure cuff around the bag for pressure delivery also.

    I use a red paper over my LED maglite to make veins stick out in bad sticks, it will fade arteries, and darken viens. (OH TURN THE FLOURESCENT LIGHT OFF!

    Baby powder in your socks helps your feet not feel so claustrophobic over the 12 hour shift.

    In patient's with uncontrolled vomiting, get them to yawn, I read this in a Neurology Book, it can reset the pathway in the brain that PAIN NAUSEA AND TEMPERATURE TRAVEL ON.

    Run water if your patient has trouble urinating.

    The Vagus Nerve Trigger can stop Hiccups.

    In a picture, if only one eye is red, that could be a sign of a tumor.

    Squeezing the skin between the THUMB and POINTER FINGER helps migraines tremendously. (PINCH, HOLD, AND MASSAGE)

    Chewing gum will make you read and chart faster.

    A 5 minute Rigourous Scalp Massage can release as many endorphins as MORPHINE 5mg!!!!!!!!!!!!

    If assessing for a stroke, shine the light in one eye, USE A DIVIDER TO KEEP LIGHT OUT OF THE OTHER, it should STILL RESPOND.

    Blowing up a baloon helps prevent ATELECTASIS, (BEWARE OF LATEX ALLERGY, and POLICY/PROCEDURE)

    When you become aware of your breathing, and conscious takes over subconscious, YOUR spO2 generally falls by 2-5%

    An aspirin 325mg crushed and put in a car batteries water supply will give you a charge to start.
    (SAVED MY TAIL IN ALASKA)!!!!!!!!!

    Where shoes that make a noise so if your Psych, or Psych Emergency Room Pts are doing something stupid, they will hear you coming and behave. I KNEW A NURSE THAT WORE HIGH HEELS FOR THIS PURPOSE!!!!!!!!

    A condom and a 18 gauge IV catheter placed in the last intercostal space for a collapsed lung in the field.

    Those prepackaged fingernail polish removers are great for permanent marks on skin, temp tattoos, and even blood stains on your scrubs.

    When doing a accu-check, get the pt. to make 5 fists first, also helps decrease pain from stick.

    DISCLAIMER: TRY THIS JUNK AT YOUR OWN RISK!!!!!!!!!!!

  • Mar 29

    Quote from PRICHARILLAisMISSED
    Hi, Good article. I am only still in the pre-req stage in my journey, but there is one thing about your article that REALLY, and I mean REALLY bothers me. It is about addiction being a disease... Now, even if the medical and nursing community can TECHNICALLY give a million reasons why a pt's addiction is similar to (or, as is claimed) an ACTUAL disease, I have to point out a certain piece of information that is akin to shouting " The Emperer has no clothes..." These addicts CHOSE to take whatever substance they are addicted to that first (or second, or third or 50th time...), knowing that the possibility of them becoming addicts existed. I know as an aspiring Nurse that I'm supposed to sympathize with these people-and make no mistake, once I am an RN I will do what is expected of me regardless of my personal feelings- but they made their bed, and now they expect the rest of us to lie in it with them... I'm sorry but I don't agree. Many of these addicts are going to the ER on the taxpayers dime, and I personally think that this needs to stop.
    Many diseases are caused by poor choices, obesity, heart disease, diabetes, lung cancers, STDs(choice based in cause only/personal choice led to disorder), etc. They are diseases too-and 1/100th the stigma, so they actually get treated. The only treatment I usually see for the addict is torture treatment- and it's toooooooooo widely accepted. No one doubts these are diseases.


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